Turkish Journal of Nephrology
Case Report

An Overlooked Complication of Bariatric Surgery: Gluteal Compartment Syndrome

1.

Bursa Şevket Yılmaz Eğitim Araştırma Hastanesi, Nefroloji Kliniği, Bursa, Türkiye

2.

Bursa Şevket Yılmaz Eğitim Araştırma Hastanesi, Genel Cerrahi Kliniği, Bursa, Türkiye

3.

Bursa Şevket Yılmaz Eğitim Araştırma Hastanesi, Dahiliye Kliniği, Bursa, Türkiye

4.

Uludağ Üniversitesi Tıp Fakültesi, Nefroloji Bilim Dalı, Bursa, Türkiye

Turkish J Nephrol 2016; -1: Supplement 110-112
DOI: 10.5262/tndt.2016.24
Read: 1445 Downloads: 709 Published: 01 February 2019

Gluteal compartment syndrome (GCS) is an uncommon non-traumatic rhabdomyolysis induced by staying in the same position for a long time during a surgical operation or under the effect of drugs. In bariatric surgery, overweight patients are more prone to this syndrome. If a patient has complaints such as hip or leg pain, sciatic nerve palsy and red-brown colored urine in the post-op period, GCS should be taken into consideration. For patients having a long operation time due to technical problems, the creatinine kinase level should be controlled and the gluteal region should be examined carefully. The treatment options of GCS include early aggressive fluid replacement, alkalinization of urine with sodium bicarbonate, surgical decompression and debridement. Here we present a case of a 40-year-old obese patient who underwent bariatric surgery resulting in GCS, renal failure, and death.

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EISSN 2667-4440